孕晚期胎动减少与新生儿缺氧缺血性脑损伤

Decreased fetal movements in the third trimester and neonatal hypoxic-ischemic brain damage

胎动是胎儿宫内状况良好的标志之一，孕晚期胎动减少（DFM）提示可能存在胎儿宫内窘迫的可能性，但目前缺乏孕晚期 DFM 与新生儿缺氧缺血性脑损伤（ HIBD）发病率关联性的临床研究报道。孕晚期DFM 与产妇、胎儿、脐带血流等生理和病理因素相关，发生孕晚期 DFM 的新生儿发生临床不良结局的可能性大大增加。因此，产科医师和新生儿科医师均应加强对发生孕晚期 DFM 的孕妇及其所分娩新生儿的医学监控，及时采取医学干预措施，减少 HIBD 的发生。

Fetal movement is one of the markers of fetal wellbeing. Decreased fetal movement（DFM）in the third trimester indicates an increased possibility of intrauterine asphyxia/ anoxia. There is a lack of reported data for the correlation of DFM and incidence of neonatal hypoxic - ischemic brain damage（HIBD）. DFM is a multi - factorial clinical phenomenon which may be caused by various issues of pregnant women,fetus,and cord. Incidence of negative neonatal outcomes greatly increased in the condition of DFM. Obstetricians and neonatologists should keep close monito-ring to pregnant women with DFM in the third trimester and their newborn infants. Appropriate medical intervention is highly recommended in order to minimize the occurrence of HIBD.